Publications by authors named "Briscoe S"

Homicide is considered a crime against the state rather than the covictims, which impacts on criminal justice system (CJS) processes and can lead to secondary victimization. This review explores the experience of co-victims (i.e.

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Background: Lynch syndrome is an inherited condition which leads to an increased risk of colorectal, endometrial and ovarian cancer. Risk-reducing surgery is generally recommended to manage the risk of gynaecological cancer once childbearing is completed. The value of gynaecological colonoscopic surveillance as an interim measure or instead of risk-reducing surgery is uncertain.

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Article Synopsis
  • The UK loses millions of working days annually due to work-related health issues, costing billions; thus, Occupational Health (OH) services are essential for supporting affected workers.
  • Traditional OH services rely on a limited number of qualified doctors and nurses, but the declining workforce in this area necessitates exploring multi-disciplinary approaches involving diverse healthcare professionals.
  • This study aims to create an evidence and gap map (EGM) that assesses the effectiveness and cost-effectiveness of multi-disciplinary OH interventions, searching for systematic reviews to better understand which approaches yield positive work-related outcomes.
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Background: Nurses, midwives and paramedics are the largest collective group of clinical staff in the National Health Service and have some of the highest prevalence of psychological ill-health. Existing literature tends to be profession-specific and focused on individual interventions that place responsibility for good psychological health with nurses, midwives and paramedics themselves.

Aim: To improve understanding of how, why and in what contexts nurses, midwives and paramedics experience work-related psychological ill-health; and determine which high-quality interventions can be implemented to minimise psychological ill-health in these professions.

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Background: Nurses, midwives and paramedics comprise over half of the clinical workforce in the UK National Health Service and have some of the highest prevalence of psychological ill health. This study explored why psychological ill health is a growing problem and how we might change this.

Methods: A realist synthesis involved iterative searches within MEDLINE, CINAHL and HMIC, and supplementary handsearching and expert solicitation.

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Background: Sleep disturbance is a prevalent condition among people living with dementia (PLwD) or mild cognitive impairment (MCI). Its assessment and management within primary care is complex because of the comorbidities, older age, and cognitive impairment typical of this patient group.

Aim: To explore how primary care clinicians assess, understand, and manage sleep disturbance for PLwD or MCI; if and why such initiatives work; and how people and their carers experience sleep disturbance and its treatment.

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Background And Objectives: Hospitals streamline treatment pathways to reduce the length of time older adults admitted for planned procedures spend in hospital. However patient perspectives have been poorly evaluated. This systematic review aimed to understand the experiences of older patients, carers, families and staff of multi-component interventions intended to improve recovery following elective treatment.

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Article Synopsis
  • The study aimed to systematically review and map evidence regarding the best practices for prescribing statins and antihypertensive medications through an umbrella review and evidence and gap map (EGM).
  • A comprehensive search of eight databases was conducted for relevant studies from 2010 to August 2022, focusing on adults aged 16 and older who were prescribed these medications.
  • The results identified 80 systematic reviews, primarily emphasizing patient adherence to antihypertensive medication, but revealed significant gaps in high-quality evidence regarding specific interventions and prescribing practices.
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Objectives: To understand the impact of multicomponent interventions to improve recovery of older adults following planned hospital treatment, we conducted two systematic reviews, one of quantitative and one of qualitative evidence, and an overarching synthesis. These aimed to: • understand the effect of multicomponent interventions which aim to enhance recovery and/or reduce length of stay on patient-reported outcomes and health and social care utilisation • understand the experiences of patients, carers and staff involved in the delivery of interventions • understand how different aspects of the content and delivery of interventions may influence patient outcomes.

Review Methods: We searched bibliographic databases including MEDLINE ALL, Embase and the Health Management Information Consortium, CENTRAL, and Cumulative Index to Nursing and Allied Health Literature and Allied and Complementary Medicine Database, conducted forward and backward citation searching and examined reference lists of topically similar qualitative reviews.

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Given the climate projections for livestock rearing regions globally, understanding the inflammatory status of livestock under various heat loads will be informative to animal welfare and management. A survey of plasma inflammatory markers was conducted, and blood leucocyte counts followed to investigate the capacity of the ~ 500 kg grain fed Black Angus steer to respond to and recover from a moderate heat load challenge. Two sequential cohorts of 12 steers were housed in climate-controlled rooms (CCR) for 18 days.

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Background: Studies have found that women with gynaecological conditions and symptoms do not feel listened to by primary care clinicians (PCCs). Less understood is whether PCCs perceive that there are challenges around listening to and interacting with this patient group.

Aim: To understand PCCs' perspectives on the challenges of listening to and interacting with women patients with gynaecological conditions and symptoms.

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Introduction: Golimumab, a monoclonal antibody against tumor necrosis factor-α (TNF-α), is used widely for treatment of rheumatic diseases. Long-term persistence is an important factor influencing therapeutic benefit and is a surrogate measure of efficacy. We compared five-year golimumab treatment persistence across studies, indications, and lines of therapy using pooled data from pivotal golimumab Phase III clinical trials.

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Introduction: We conducted a systematic review of qualitative evidence to improve understanding of the processes and outcomes of redress and reconciliation following a life-changing event from the perspectives of individuals experiencing the event and their families.

Methods: We searched six bibliographic databases for primary qualitative evidence exploring the views of individuals who have experienced a life-changing event, and/or their family or carers, of redress or reconciliation processes. This was supplemented with targeted database searches, forward and backward citation chasing and searches of Google Scholar and relevant websites.

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Objective: In the UK there are around 5400 deaths annually from injury. Tranexamic acid (TXA) prevents bleeding and has been shown to reduce trauma mortality. However, only 5% of UK major trauma patients who are at risk of haemorrhage receive prehospital TXA.

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Objectives: We set out to map the quantitative and qualitative systematic review evidence available to inform the optimal prescribing of drugs that can cause dependency (benzodiazepines, opioids, non-benzodiazepine hypnotics, gabapentinoids and antidepressants). We also consider how this evidence can be used to inform decision-making in the patient care pathway for each type of medication.

Methods: Eight bibliographic databases were searched for the period 2010 to 2020.

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We set out to determine the impact of moderate heat load on the plasma concentrations of a suite of hormones involved in regulating energy metabolism and feed intake. The responses of the thermally challenged (TC) feedlot steers were compared to those of feed restricted thermoneutral (FRTN) steers. Two sequential cohorts of twelve 518 ± 23 kg Black Angus steers on finisher grain ration were housed in climate-controlled rooms (CCR) for 18 days and returned to outdoor pens for 40 days.

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Systematic reviews aim to provide reliable answers to research questions by identifying and synthesising the available evidence using rigorous methods. This makes systematic reviews a cornerstone of evidence-based practice in healthcare settings. However, despite the avowed aim and importance of systematic reviews, studies have shown that they often include serious flaws, including in the search for studies.

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Article Synopsis
  • Pulmonary hypertension due to left heart disease (PH-LHD) is common but currently lacks approved treatments; recent studies explored the effectiveness of the ActRIIA-Fc fusion protein as a potential therapy.
  • Treatment with ActRIIA-Fc showed significant improvement in heart function and reduction of pulmonary vascular remodeling in both mouse models of heart failure with reduced ejection fraction (PH-HFrEF) and preserved ejection fraction (PH-HFpEF).
  • Additionally, the compound mitigated metabolic dysregulation and abnormal cellular behaviors in models of PH-HFpEF, suggesting it could correct underlying issues related to heart and lung function in pulmonary hypertension associated with left heart disease.
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A commonly reported challenge of using Google Search to identify studies for a systematic review is the high number of results retrieved. Thus, 'stopping rules' are applied when screening, such as screening only the first 100 results. However, recent evidence shows that Google Search estimates a much higher number of results than the viewable number, raising the possibility of exhaustive screening.

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Background: Systematic reviews require detailed planning of complex processes which can present logistical challenges. Understanding these logistical challenges can help with planning and execution of tasks OBJECTIVES: To describe the perspectives of expert searchers on the main logistical challenges when carrying out supplementary searches for systematic reviews, in particular, forward citation searching and web searching.

Methods: Qualitative interviews were undertaken with 15 experts on searching for studies for systematic reviews (e.

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Article Synopsis
  • The ageing population is leading to an increase in individuals living with dementia and mild cognitive impairment (MCI), resulting in a significant prevalence of sleep disturbances, yet there's no standardized management in UK primary care.
  • This realist review aims to explore definitions, assessments, diagnoses, and management of sleep disturbances among people with dementia or MCI by engaging a group of stakeholders, including patients and healthcare professionals.
  • The findings will contribute to developing a tailored sleep management tool and will follow ethical guidelines and reporting standards to ensure clarity and transparency in the results.*
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Responses to heat stress in ruminants reflect the integration of local climatic conditions, environment/production system and the animal's homeostatic and homeorhetic capacities. Thus, the goal of ameliorating heat stress requires experimental settings that, within limits, closely resemble the target production system and cohort. We investigated the blood biochemical changes of two sequential cohorts of twelve 518 ± 23 kg grain fed Black Angus steers.

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  • Sotatercept is a fusion protein that helps improve lung and heart function in patients with pulmonary arterial hypertension (PAH) by trapping certain proteins, though its exact mechanisms are not fully understood.
  • In a study using rat models of severe PAH, treatment with Sotatercept significantly decreased inflammation and abnormal cell growth in the lungs compared to traditional vasodilators, and normalized immune cell behavior.
  • The findings indicate that Sotatercept has beneficial anti-inflammatory effects alongside its known ability to reduce abnormal vascular cell growth, suggesting it could be an effective stand-alone or supplementary treatment for PAH patients.
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Pulmonary arterial hypertension (PAH) is a rare disease characterized by high blood pressure in the pulmonary circulation driven by pathological remodeling of distal pulmonary arteries, leading typically to death by right ventricular failure. Available treatments improve physical activity and slow disease progression, but they act primarily as vasodilators and have limited effects on the biological cause of the disease-the uncontrolled proliferation of vascular endothelial and smooth muscle cells. Imbalanced signaling by the transforming growth factor-β (TGF-β) superfamily contributes extensively to dysregulated vascular cell proliferation in PAH, with overactive pro-proliferative SMAD2/3 signaling occurring alongside deficient anti-proliferative SMAD1/5/8 signaling.

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